Healthcare Provider Details

I. General information

NPI: 1356148043
Provider Name (Legal Business Name): TURNWELL MENTAL HEALTH OF SOUTH FLORIDA, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2999 NE 191ST ST STE 600
AVENTURA FL
33180-3385
US

IV. Provider business mailing address

3500 MAPLE AVE STE 1430
DALLAS TX
75219-3906
US

V. Phone/Fax

Practice location:
  • Phone: 469-765-0328
  • Fax:
Mailing address:
  • Phone: 469-765-0328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: PRIYANKA GANDHI
Title or Position: VP, GROWTH
Credential:
Phone: 469-765-0328